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�' . <br /> �,.� „ �. <br /> � . . � <br /> r <br /> �, <br /> ° A►F�PLICATI011� FOR �a B-B��TORIC DISTRIC� <br /> � <br /> �.:_,� ; "CER7'IFIC/�TE O� APf�ROPRi/�TENESS" <br /> ay sta�•Application# Contribufing: Yes/IVo Date Submifted: <br /> (Applicant,Please provide informa6on beiween the double lines) <br /> Property Address or Location: ��5�(� ��h � V�- <br /> Owner's Name: ��1f C[�'1 �t /� aC .Sh u✓'n�OL. Phone: <br /> Applicant's Name&Company(if different): <br /> ApplicanYs Mailing Address: "7�� �- ��°`��r � �J�X ,L wr�o <br /> App.Contact Info: Phone: Fax: Email: <br /> . Type'of Property: Residential v Commerciai Public or Other <br /> PFtOPOSED RESTORATION/RENOVATIONS/REPAIRS/RELOCATION/ETC: <br /> Exterior Walis Signage <br /> Exterior poors Lighting <br /> Windows New Main Building or Addition to Existing Building <br /> po�� New Accessory Bldg.(garage,carport,shed) <br /> � Awnings or Canopies New deck,ramp,p�tio,etc. <br /> Fencing Buiiding,Demolition or Reloqtion • <br /> '" 'r:. Exterior Painting&Color Changes General Repairs(describe below) <br /> �_i V Roofing Other'(describe below) <br /> Detailed descri�tion of proposed work: (attach other sheets ff necessary) <br /> %Pai o�:� 5���'IGIYG i/!<�+al� qsw s'ti,•,G (rS <br /> The Historic Preservation Board requires that the following information MUST be included with an application prior to the <br /> application being accepted by staff: <br /> • Detailed Plans,including a site�lan and elevation(s); <br /> . Color and material samales; <br /> • Manufacturer's sales literature; <br /> . Photoarauhs:and <br /> • Any other suaaortin4 documentation to show that the proposed work is consiste t with the adopted Department <br /> of Interi�r Standards. i�� Gu-��1 <br /> SIGNATURE OF THE OWNER and/or PLICANT �'13 .-g33—770� <br /> (Applicanf do NOT wrife BELOW this line) <br /> ACTION TAKEN: Date: L�/.�I� v�� f � <br /> � �y Staff: Approved vf Denied Reason for Denial: • <br /> C�(i !l,i��'1��CL�'2�i. f' c, :�'t.f t' J'1�G�.-v�C__tiJ <br /> c� <br /> ❑By HPB: Approved Approved with modifications noted below"and/or on attached sheets <br /> Denied <br /> � ¢HPB Condition(s)of Approvai: <br /> �✓ <br /> Signed: ��_y� �r Z(,U .�.� ,1 � .�v� J"Zi , ' Date: � l.� �� I <br />